Individual
MR. CHARLES C CAVALCONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
88 CHURCH ST, BRISTOL, RI 02809-2226
(508) 674-5600
(580) 235-5053
Mailing address
88 CHURCH ST, BRISTOL, RI 02809-2226
(508) 674-5600
(580) 235-5053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1313
MA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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